Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $2.84 / $13.67	Facility		$1.23	$2.84	$13.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.23 / $3.71	Professional		$1.22	$1.23	$3.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.31 / $1.95 / $4.37	Facility		$1.31	$1.95	$4.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.59 / $27.56	Professional		$1.22	$1.59	$27.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $7.23 / $13.09	Facility		$6.59	$7.23	$13.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.30 / $4.00	Professional		$1.24	$1.30	$4.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.14 / $1.22	Facility		$1.14	$1.14	$1.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.91	Professional		$1.22	$1.22	$1.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.33 / $3.15	Professional		$1.77	$2.33	$3.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.46 / $3.11	Professional		$1.10	$1.46	$3.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $1,917.60 / $1,917.60	Professional		$1,917.60	$1,917.60	$1,917.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $4.77 / $60.00	Professional		$2.33	$4.77	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.46 / $37.28	Facility		$1.22	$1.46	$37.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.91	Professional		$1.22	$1.22	$2.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.58 / $7.58	Professional		$7.58	$7.58	$7.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $0.97 / $1.22 / $1.83	Professional		$0.97	$1.22	$1.83
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.47	Professional		$1.22	$1.22	$2.47